Individual provider Active NPI

Beth A Vanselous

  • Family Nurse Practitioner
  • Pottsville, PA
National Provider Identifier
1346711157
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019030 Issued in PA
Practice address
200 Schuylkill Medical PLZ
Pottsville, PA 17901
Phone
(570) 621-9200
Fax
(570) 621-9201
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019030 PA Primary

Addresses

Primary practice location

200 Schuylkill Medical PLZ
Pottsville, PA 17901

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1 Reading Dr
Wernersville, PA 19565-2018
Phone (610) 927-8200

Other practice location 2

1 Reading Dr
Wernersville, PA 19565-2018
Phone (610) 927-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308000350 PA Practitioner - Nurse Practitioner 4486993409 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

3701 Corriere Rd
Suite 14
Easton, PA 18045-7991
Phone (484) 591-7010

Hospital & facility affiliations

  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019030PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Corporate and Community Based Services Inc Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 29, 2019 Accepting new patients
Family Care Centers Inc CurrentSince Sep 19, 2023 Accepting new patients
Family Care Centers Inc. Current Accepting new patients
Phoebe Corporate & Community Based Services CurrentSince Jan 7, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 29, 2019 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Sep 23, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1925 W Turner St
Allentown, PA 18104
Phone (610) 794-5075

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

10 E Spruce St
Frackville, PA 17931
Phone (570) 874-4289

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 14
Palmer Township, PA 18045
Phone (484) 591-7010

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1346711157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCHUYLKILL MEDICAL PLZ",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-621-9200",
            "fax_number": "570-621-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Reading Dr",
            "address_purpose": "LOCATION",
            "city": "Wernersville",
            "state": "PA",
            "postal_code": "195652018",
            "country_code": "US",
            "telephone_number": "610-927-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Reading Dr",
            "address_purpose": "LOCATION",
            "city": "Wernersville",
            "state": "PA",
            "postal_code": "195652018",
            "country_code": "US",
            "telephone_number": "610-927-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSELOUS",
        "first_name": "BETH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.